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DSH470005N RUTLAND REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
RUTLAND REGIONAL MEDICAL CENTER
Subdivision Name
East Dorset Medical Campus / Orthopaedics
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH470005N
Medicare Provider Number
470005
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/1/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/5/2016
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Rutland Regional Medical Center
Jennifer Bertrand, CFO
(802) 747-1601
Primary Contact
Rutland Regional Medical Center
Jonathan Reynolds, VP Clinical Services
(802) 772-2634
Addresses
Street Address
51 Tennis Way
East Dorset, VT 05253
Billing Address
Rutland Regional Medical Center
160 Allen St
Rutland, VT 05701
Comments
Medicaid Billing
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